scholarly journals Accidental Administration of Auto-Injectable Adrenaline into a Digit

Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 51-53
Author(s):  
Christine Wanis ◽  
Huda Jawad ◽  
Richard J Moore ◽  
Julie Burke

General Dental Practitioners (GDPs) and Dental Care Professionals (DCPs) have a duty of care to ensure that patient safety is at the forefront of their clinical practice. Medical emergencies, although rare, can occur in the dental setting, and early, effective management of these emergencies can, not only save lives, but also improve long-term outcomes. A case is reported which highlights a safety incident involving accidental self-administration of an adrenaline auto-injector (AAI) into a digit during a medical emergencies training session. Consequently, the aim is to raise awareness of these unexpected safety incidences and propose a protocol for the treatment of such injuries. CPD/Clinical Relevance: This paper highlights the importance of vigilance when undertaking a medical emergency training course, and the introduction of a new protocol to be used in cases of accidental AAI injury.

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 831-839
Author(s):  
Aksha sharen Arul Edwin ◽  
Lakshmi T ◽  
Karthik Ganesh Mohanraj

In general, one of the convincing methods to tackle an emergency is to be well-organized and prepared priory. The intention of the study is to analyze the availability of medical emergency procedures and equipment in dental clinics. Also, the aim is to determine the level of awareness, knowledge, perceptions, individual experiences and preparedness of the dental practitioners and dental students for the management of medical emergency situations in their hospitals or clinics. A cross-sectional survey based study was done from April to among 100 dental students in Chennai. The self-structured well-designed questionnaire containing the protocols and emergency procedures followed in their clinic. The questionnaire forms were circulated online through Google forms. The data from all the participants were collected and analyzed through SPSS software. In the present study, it was inferred that the majority of the population are aware about the medical emergencies in dental clinics (99%) and the remaining 1% of the population are not aware of it. The conclusion of this study is that the above statistical analysis about knowledge awareness on recent advances in the treatment of medical emergencies in dental clinics has provided an alarming situation about the capability of dentists to deal with such conditions for the betterment of patients .


2018 ◽  
Vol 7 (3) ◽  
pp. 46-57
Author(s):  
Mark Greenwood ◽  
Mark Greenwood

Dental practitioners need to have knowledge of the risk assessment, diagnosis and management of medical emergencies. This paper deals with risk assessment and basic management principles, applicable to all emergencies. More specific aspects of medical emergency management are also discussed.


2021 ◽  
Vol 24 (4) ◽  
Author(s):  
Heba Hussein ◽  
Mohamed A. Abdelbaqy ◽  
Abdelrahman A. Ibrahim ◽  
Shahenda Farid ◽  
Suzan Ibrahim

Objectives: To evaluate the awareness of medical emergencies among dental practitioners in three dental schools. Material and methods: The study group included 384 dental practitioners, including dental staff members, post-graduate students, and dental interns. These professionals were attending three dental educational institutions in Egypt. Two of them were governmental and one was a private school. The educational model is almost the same in most Egyptian dental schools. Results: The response rate was 100%. Most of the participants worked in private academia (44.16%) or practice (42.34%) and 65.20% of them were females. The participants recorded medical history and filled a form (91.17%, 80.52 % respectively) while only 41.82% obtained the vital signs. Among the participants, 48.57 % were confident about handling medical emergency and 74.29 % reported their capability of intramuscular injection while only 25.71 % for intravenous injection and 49.35% knew about emergency kits. Management knowledge of airway obstruction and prosthetic heart valve patients was reported by 80.27 % and 71.94 % respectively, while less percentage for activation of EMS, chest compression, CPR ratio, and infant rescue breathing. The mean preparedness percent score was 54.57% and it was inversely correlated to the years of experiences and directly correlated to the degree of confidence in their ability to manage the dental emergency. Conclusion: The current study results reflected a deficiency in the dental practitioner awareness about the medical emergency especially the practical part.     Keywords Dentists; Cross-sectional studies; Emergencies; Educational models; Dental schools.


2019 ◽  
Vol 2 (11) ◽  
pp. 270-275
Author(s):  
Arun Paul ◽  
Gulam Anwar Naviwala ◽  
Deepa Prakash

INTRODUCTION: Medical emergencies are very frequent in dental setting. It is imperative to  judiciously manage these situation in clinical setting.  Having correct knowledge about the medical emergencies and the management methods are crucial successful clinical practice. AIM: To assess the knowledge and experience about medical Emergencies among Dental interns in Bangalore City. MATERIALS AND METHODS: A cross sectional study was conducted among 350 dental  Interns from sixteen dental colleges in Bangalore City using a structured questionnaire consisting of 14 item questions. RESULTS: Syncope being the  most commonly encountered medical emergency (79.14%), followed by hypoglycaemia(17.14%). About 49.71% respondents considered medical emergency training was moderate. 98% of them think that medical emergencies training is important. Knowledge of the presence of drugs and equipments in the emergency drug kit and the confidence with regard to using them was not satisfactory. CONCLUSION: Dental graduates had a superficial knowledge of management of medical emergencies and use of drugs and equipments.


2018 ◽  
Vol 6 (2) ◽  
pp. 402-405
Author(s):  
Ghassan M. Al-Iryani ◽  
Fareedi Mukram Ali ◽  
Naima H. Alnami ◽  
Sahar K. Almashhur ◽  
Maha A. Adawi ◽  
...  

Medical emergencies are one of the most stressful situations the staff in a dental practice might encounter. The duty of care toward the attending patients obligates suitable preparedness to provide the necessary care if such emergencies ensue. Unfortunately, we found that 22% of the investigated dental clinics had no emergency kit available. Only 38% of the interviewed dentists felt confident to perform CPR, and 18% had no confidence to manage any medical emergency. An MCQ test of 20 questions examining the dentists’ knowledge in medical emergencies was distributed, and the level of knowledge was found to be suboptimal. The average score of the interviewed dentists was 10.87 out of 20. Experience and specialty training had a negligible effect on the level of knowledge.


2021 ◽  
pp. rapm-2021-102710
Author(s):  
Julia Scarpa ◽  
Christopher L Wu

As humanity presses the boundaries of space exploration and prepares for long-term interplanetary travel, including to Mars, advanced planning for the safety and health of the crewmembers requires a multidisciplinary approach. In particular, in the event of a survivable medical emergency requiring an interventional procedure or prolonged pain management, such as traumatic limb injury or rib fracture, anesthetic protocols that are both safe and straightforward to execute must be in place. In this daring discourse, we discuss particular considerations related to the use of regional techniques in space and present the rationale that regional anesthesia techniques may be the safest option in many medical emergencies encountered during prolonged space flight.


2021 ◽  
Vol 15 (1) ◽  
pp. 728-733
Author(s):  
Louay Jaber ◽  
Faisal Al-Qarni ◽  
Mohammed Alsaati ◽  
Mohammed Al-Nefaiee ◽  
Ashwin C. Shetty ◽  
...  

Background: Training dental practitioners on emergency preparedness and response is essential for the successful management of medical emergencies. Objectives: To assess the perceptions of dental practitioners in Saudi Arabia about their readiness to manage medical emergencies in the dental practices. Methods: This cross-sectional survey was conducted among dental practitioners working in 52 dental centers in Saudi Arabia. Questionnaires mainly gathered data on the measures taken by dental practitioners to prevent medical emergencies, BLS certification, availability of essential drugs and equipment, and perceptions of dental practitioners regarding the adequacy of their training for medical emergencies. Results: Of the total 270 participants, the majority reported that they take medical history (94%), perform visual inspection (90%), consult with patients’ physician when needed (89%), and modify treatment plan as necessary (94%). However, only 19% of them routinely take baseline vital signs for their patients and 52.6% have valid BLS certification. Only 29.6% and 16.3% of dental practitioners have reported that they have all essential drugs and equipment, respectively. Conclusion: The preventive measures for medical emergency appears to be deficient because most dental practitioners are not routinely taking baseline vital signs for their patients. This important issue is combined with shortage of BLS certification among dental practitioners and inadequate availability of all medical emergency drugs and equipment in dental practices.


2017 ◽  
Vol 24 (05) ◽  
pp. 665-669
Author(s):  
Priya - ◽  
Ambreen Munir ◽  
Nida Talpur ◽  
Suneel Kumar Punjabi

Objectives: To asses and manage medical emergencies in the dental setupsof Hyderabad city. Methodology: Study Design: Descriptive Cross Sectional study. Setting:General and Specialist dentists of Hyderabad city. Period: June 2015 to January 2016. Inthis study population of 187 dentists were enlisted practicing either in public or private setupof Hyderabad, Sindh. Questionnaire designed to obtain information about their experience.Results: (59.89%) of the graduate dentists having less than 5 years clinical experienceand (40%) have clinical experience of more than 5 years, qualification, 114 (60.63%) of thepractitioner had fundamental dental aptitude and 73 (39.0 %) were specialists with differentpostgraduate aptitude. Medical emergency workshops attended, (60.96%) General dentistsand Specialist had undertaken BLS course, commonly occurring emergency was vasovagalsyncope with the prevalence of 103(55.0%) and availability of drugs and equipment’s wereOral Glucose (90%), Aspirin (86%) and Sprit Ammonia (78%) usually available drugs kept bythe Clinical Setup to handle the emergency procedures. Conclusion: Dental practitioners ofcity Hyderabad are able to identify and handle medical crisis, however most of the doctorseither not properly trained to contract with these circumstances or they have poor assets todeal with medical emergencies. Improvement in knowledge of dentists through speculative anddemonstrable educational courses, availability of emergency drugs, equipment’s and advancegroundwork for the emergency management of the patients is required.


Author(s):  
Oscar D. Guillamondegui

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.


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